The presentation talks about the components of FHIR, its distribution and use. Scenarios for the introduction of FHIR in the country using HL7 V3 are also offered.
23. SELECT DISTINCT(p.id), p.resource#>'{name,0}'
FROM patient p
JOIN observation o ON o.resource#>>'{subject,id}' = p.id
WHERE (o.resource @>
-- LOINC: Smoking status
'{"code": {"coding": [{"code": "72166-2"}]}}'::jsonb)
AND ((o.resource @>
-- SNOMED: Current every day smoker
'{"value": {"CodeableConcept": { "coding": [{"code": "449868002"}]}}}')
-- SNOMED: Former smoker
OR (o.resource @> '{"value": {"CodeableConcept": { "coding": [{"code": "8517006"}]}}}'))
-- patient's age > 45
AND (extract(year from age(now(), (p.resource->>'birthDate')::date)) > 45)
-- patient gender is male
AND (p.resource->>'gender' = 'male');
FHIR ANALYTICS & BULK API
https://fbdemo.aidbox.app
25. FHIR WORLD-WIDE
➤ US Hospital Argonaut project http://
argonautwiki.hl7.org
➤ Smart App Galery https://
apps.smarthealthit.org
➤ Possible direct access in Apple Health
App https://www.apple.com/newsroom/
2018/01/apple-announces-effortless-
solution-bringing-health-records-to-
iPhone/
➤ Google Big Data project https://
ai.googleblog.com/2018/03/making-
healthcare-data-work-better-with.html
26. FHIR IMPLEMENTORS & PILOTS
• Lithuania (NHS)
• Finland (Kanta)
• UK (NHS)
• Russia (MIAZ SPb, N3)
• Australia
• Abu-Dhabi Emirate (e-Prescription)
• ...
29. Abu-Dhabi CNM
• United Arab Emirates consists
from 7 emirates
• Abu Dhabi Emirate
contributes ~60 per cent of the
GDP
• Population of Abu-Dhabi
Emirate ~2,120,700 people
• CNM - Control Narcotic
Medication
• #1 FHIR implementation in the
Gulf
33. Extensions usage
• ~ 90% of the HL7 V3 templates in Estonia have
extensions
• ~ 60% of the resources HL7 FHIR v0.5 in Lithuania have
extensions
• 0% of HL7 FHIR resources v3.0.1 in the UAE have
extensions
34. SMART on FHIR Scopes
and Launch Context
• The rights to the organization only prescribe the prescriptions:
• user/Patient.*; user/MedicationRequest.*; user/Organization.read; user/
Practitioner.read; user/Medication.read; user/MedicationDispense.read;
• Rights for the organization of only dispensing medication:
• user/Patient.*; user/MedicationRequest.read; user/Organization.read; user/
Practitioner.read; user/Medication.read; user/Provenance.*; user/
MedicationDispense.*;
• The information about the scopes is stored in в Jasig CAS token attribute
39. Estonia
2006-2010
Estonia is the first country which has implemented a nationwide
electronic health record system and gives full access to its citizens.
This provides new opportunities to citizens, healthcare providers
and e-health developers
Тhe international council on medical & care compunetics
(http://recordaccess.icmcc.org/tag/portal/)
“Patient Opportunities in the Estonian Electronic Health Record System”
2019
????
Estonia is behind of Lithuania, Uzbekistan, Belarus, etc.
40. Action plan
• FHIR pilot
• FHIR read-only(?) interface to (some) current V3
services
• Make new standard in FHIR
• Take FHIR for terminology
• FHIR meet up @ Tallinn
• We will found external speakers